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	<title>Omnitursa</title>
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									<i class="halflings-icon white user"></i> Admnistrador
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						<li><a href="#">Requisiciones</a></li>
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						<div class="row-fluid">	
							<div class="box span12">
								<table  class="table table-bordered table-striped">
									<thead></thead>
									<tbody>
										<tr style="text-align: rigth;">
											<fieldset style=" background-color: #e1e1e1;text-align: rigth;">
												<div class="control-group pull-right" >
													<label class="control-label" for="prependedInput01">Comisiones: </label>
													<div class="controls">
														<div class="input-prepend">
															<span class="add-on">$</span><input id="prependedInput" type="text">
														</div>							  						
													</div>
												</div>
											</fieldset>
										</tr>
										<tr style="text-align: rigth;">
											<fieldset style=" background-color: #e1e1e1;text-align: rigth;">
												<div class="control-group pull-right" >
													<label class="control-label" for="prependedInput01">Total a pagar a proveedores	: </label>
													<div class="controls">
														<div class="input-prepend">
															<span class="add-on">$</span><input id="prependedInput" type="text">
														</div>							  						
													</div>
												</div>
											</fieldset>
										</tr>
										<table class="table table-bordered table-striped table-condensed">							    
											<thead></thead>
											<tbody>
												<tr>
													<td colspan="2">							  		
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput">Monto a facturar a OMNITURSA: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
													<td colspan="2">
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput2">Fact. No.: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput2" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>							  		                                   
												</tr>
												<tr>
													<td colspan="2">							  		
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput3">Emitir cheque a: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput3" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
													<td>
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput4">Q: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput4" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>							  		                                   
													<td>
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput5">$: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput5" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>													
												</tr>
												<tr>
													<td colspan="2">							  		
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput3">Cheque No.: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput3" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
													<td>
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput4">Fecha: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input type="date" id="prependedInput4" size="20">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>							  		                                   
													<td>
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput5">Total pagado: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput5" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>													
												</tr>
											</tbody>
										</tbody>
									</table>
									<div class="box-header">
										<h2><i class="halflings-icon white align-justify"></i><span class="break"></span>PAGO CLIENTE (CONTABILIDAD)</h2>						
									</div>					
									<div class="box-content">						
										<table class="table table-bordered table-striped table-condensed">							    
											<thead></thead>
											<tbody>
												<tr>
													<td colspan="2">							  		
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput">Pagado: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
													<td colspan="2">
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput2">Recibido: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput2" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>							  		                                   
												</tr>
												<tr>
													<td>							  		
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput3">Credit card: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput3" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
													<td>
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput4">Por: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput4" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>							  		                                   
													<td>
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput5">Sent: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput5" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
													<td>
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput7">Paid: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput7" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
												</tr>
												<tr>
													<td>							  		
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput9">Financiera: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput9" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
													<td>
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput10">Por: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput10" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>							  		                                   
													<td>
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput11">Sent: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput11" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
													<td>
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput12">Paid: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput12" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
												</tr>
												<tr>
													<td>							  		
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput14">Pagare No.: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput14" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
													<td>
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput15">Por: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput15" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>							  		                                   
													<td>
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput16">Vence: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput16" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
													<td>
														<fieldset>
															<div class="control-group">
																<label class="control-label" for="prependedInput17">ROE Cliente: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput17" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
												</tr>
												<tr  style="font-weight: bold; background-color: #e1e1e1; ">
													<td >							  		
														<fieldset style=" background-color: #e1e1e1;">
															<div class="control-group">
																<label class="control-label"  style="font-weight: bold; background-color: #e1e1e1;" for="prependedInput20">Facturar OMT: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput20" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
													<td>
														<fieldset style=" background-color: #e1e1e1;">
															<div class="control-group">
																<label class="control-label"  style="font-weight: bold; background-color: #e1e1e1;" for="prependedInput21">NIT: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput21" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>							  		                                   
													<td>
														<fieldset style=" background-color: #e1e1e1;">
															<div class="control-group">
																<label class="control-label" style="font-weight: bold; background-color: #e1e1e1;" for="prependedInput23">Monto: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput23" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
													<td>
														<fieldset style=" background-color: #e1e1e1;">
															<div class="control-group">
																<label class="control-label" style="font-weight: bold; background-color: #e1e1e1;" for="prependedInput24">Factura No.: </label>
																<div class="controls">
																	<div class="input-prepend">
																		<input id="prependedInput24" type="text">
																	</div>							  						
																</div>
															</div>
														</fieldset>
													</td>
												</tr>
											</tbody>
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